Active NPI
Ketty Lorraine Ortiz Pagan, PHARMD
- Pharmacist
- Ponce, PR
National Provider Identifier
1558758284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6299
- Practice address
- 2150 Ponce by-Pass
Ste. 100
Ponce, PR 00716 - Phone
- (787) 841-7791
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6299 | PR | Primary |
Addresses
Primary practice location
2150 Ponce by-Pass
Ste. 100
Ponce, PR 00716
Mailing address
2150 Ponce by-Pass
Ste. 100
Ponce, PR 00716
Phone (787) 841-7791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1558758284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PONCE BY-PASS",
"address_2": "STE. 100",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-841-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PONCE BY-PASS",
"address_2": "STE. 100",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-841-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ PAGAN",
"first_name": "KETTY",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.